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Holistic Primary Care
Improving Quality of Life:
e-Health System Reducing
Child Mortality and
Protecting Mothers in
Oman
Abdullah Hamood AL Raqadi
Director General Assistant of IT
Ministry of Health – DGIT, Oman
© All Rights Reserved 2013
Directorate of Information
Technology
Directorate of Information
Technology
1. About Sultanate of Oman
2. About MoH
3. Current e-Health Status
4. Mother and Child Health Program
Agenda
Ministry of Health – DGIT, Oman
© All Rights Reserved 2013
Directorate of Information
Technology
Directorate of Information
Technology
About Sultanate of Oman
Area 309,500 sq. km
Population (3.6 m) mid 2012
Capital Muscat
Life Expectancy 75.4 years (2012)
Median age 19.8 years
Population Density 11.6
Administrative Regions Divided into 11 Main Governorates
GDP Per capita $ 21,236 (IMF 2011)
GNI per capita $ 20,025
Currency I (OMR) of 1,000 baizas = US$2.58
Time Difference GMT + 4 hours
Source: Ministry of National Economy 2010
Ministry of Health – DGIT, Oman
© All Rights Reserved 2013
Directorate of Information
Technology
Ministry of Health – Oman
Responsible for provision, coordination and
stewardship of the health sector
Acts as the principal architect of health system
design and takes responsibility for achieving
inter-sectoral coordination
Advocates to all other public systems to make
policies favorable to the health sector, and to
refrain from making policies, which may
adversely affect the health of the people
All Omani citizens enjoy the right of free health
care
Ministry of Health – DGIT, Oman
© All Rights Reserved 2013
Directorate of Information
Technology
Ministry of Health – Oman
The elimination of chronic and infectious
diseases such as malaria, diarrhea and measles
Low infant mortality rate (3%) per thousand
population, compared with (13.3%) per
thousand in 1980
Life expectancy (75.4) years in 2012 compared to
(49.3) years in 1970
Ministry of Health – DGIT, Oman
© All Rights Reserved 2013
Directorate of Information
Technology
Current E-Health Status
86% of Health Institutes are
computerized (200 out of 214)
103 Health Institutes are
connected via e-Referral system
Ministry of Health – DGIT, Oman
© All Rights Reserved 2013
Directorate of Information
Technology
Directorate of Information
Technology
Current E-Health Status
HIMS (ALSHIFA)
MIS (Management Information System)
E-Referral
E-Notification
Nabdh ALSHIFA (Data warehouse and
Business Intelligence)
Central Blood Bank
Central Laboratory
Ministry of Health – DGIT, Oman
© All Rights Reserved 2013
Directorate of Information
Technology
Ministry of Health – DGIT, Oman
© All Rights Reserved 2013
Directorate of Information
Technology
MCH- Manual System Disadvantage
Manual System for pre-natal check-up, services, and
follow-up for mother and child health
Pregnant women provides all their personal data for
every pregnancy in the green card
Every pregnancy was treated separately
No appointment system
Long waiting time at the medical center or clinic
Ministry of Health – DGIT, Oman
© All Rights Reserved 2013
Directorate of Information
Technology
MCH - Manual System Disadvantage
Manual Creation for child medical record
Lack of communication between vertical programs
for the age group (0-5)
Lack of sharing information about the child across
the programs and therefore it was not possible to
link health conditions and treat them together.
No follow-up action for those who did not attend the
required check-ups.
Mother and Child Health Module
Mother-Care Program
Child-Care Program
MCH System
Ministry of Health – DGIT, Oman
© All Rights Reserved 2013
Directorate of Information
Technology
Mother and Child Health program is a Module in MoH
Healthcare Information Management System (ALSHIFA);
it is an Oman Ministry of Health initiative. ALSHIFA is a
comprehensive and complete solution for healthcare
facility management from electronic medical records to
Assets, Inventory, FA and HR management.
– The in house developed system is installed in 200+
healthcare facilities of varying size and capabilities.
– An integrated, defragmented and easily accessible EMR
that provides 360 degree view of the patient history and
clinical information needed for a point-of-care
Mother and Child Health Module
Ministry of Health – DGIT, Oman
© All Rights Reserved 2013
Directorate of Information
Technology
Provides a holistic primary care for pregnant mothers
(pre-natal care, post natal care, secondary infertility,
and birth spacing )
Records are made available throughout their pregnancy
from primary healthcare center to the hospital through
the Healthcare system
Full Appointment System with SMS facility and
reminders
Mother and Child Health Module
Ministry of Health – DGIT, Oman
© All Rights Reserved 2013
Directorate of Information
Technology
Vaccination list and activities are incorporated to
the patients’ record
Verifies if the vaccination is valid, medication
history and ultrasound scan is also captured and
stored in the patient record as well as the entire
history of pregnancies
Once the baby is born, the child record is created
in the system and a holistic approach to treatment
and management of child illnesses in the age
group 0 to 5 is carried out
Mother and Child Health Module
Ministry of Health – DGIT, Oman
© All Rights Reserved 2013
Directorate of Information
Technology
Objectives
Provides a holistic and syndromic approach to
management of women and children
healthcare services
Reduce maternal mortality rates and reduce the
mortality and morbidity rates in the children
age group (0-5)
Improve the quality of care provided
Ministry of Health – DGIT, Oman
© All Rights Reserved 2013
Directorate of Information
Technology
As A Result
Mortality Rate
Ministry of Health – DGIT, Oman
© All Rights Reserved 2013
Directorate of Information
Technology
Ministry of Health – DGIT, Oman
© All Rights Reserved 2013
Directorate of Information
Technology
As A Result
Vaccination Rate
As A Result
Mortality Rate of Maternity
Ministry of Health – DGIT, Oman
© All Rights Reserved 2013
Directorate of Information
Technology
As A Result
Death Rate of Infants
Ministry of Health – DGIT, Oman
© All Rights Reserved 2013
Directorate of Information
Technology
As A Result
Mortality Rate of Children
Ministry of Health – DGIT, Oman
© All Rights Reserved 2013
Directorate of Information
Technology
Holistic Primary Care Improving Quality of
Life: e-Health System Reducing Child
Mortality and Protecting Mothers in Oman
winning the 2012 United Nations Public
Service Award, 2nd place, in the category of “Promoting
Gender Responsive Delivery of Public Services”
Ministry of Health – DGIT, Oman
© All Rights Reserved 2013
Directorate of Information
Technology
Holistic Primary Care Improving Quality of
Life: e-Health System Reducing Child
Mortality and Protecting Mothers in Oman
Winning the 2013 WSIS Award, C7 e-Health
Ministry of Health – DGIT, Oman
© All Rights Reserved 2013
Directorate of Information
Technology
Thank You
Ministry of Health – DGIT, Oman
© All Rights Reserved 2013
Directorate of Information
Technology

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WSIS Project Prizes 2013 – C7 E-health. Reduce Childhood Mortality Rate: Infants and Children under 5 years of Age (Ministry of Health, Sultanate of Oman)

  • 1. Holistic Primary Care Improving Quality of Life: e-Health System Reducing Child Mortality and Protecting Mothers in Oman Abdullah Hamood AL Raqadi Director General Assistant of IT Ministry of Health – DGIT, Oman © All Rights Reserved 2013 Directorate of Information Technology
  • 2. Directorate of Information Technology 1. About Sultanate of Oman 2. About MoH 3. Current e-Health Status 4. Mother and Child Health Program Agenda Ministry of Health – DGIT, Oman © All Rights Reserved 2013 Directorate of Information Technology
  • 3. Directorate of Information Technology About Sultanate of Oman Area 309,500 sq. km Population (3.6 m) mid 2012 Capital Muscat Life Expectancy 75.4 years (2012) Median age 19.8 years Population Density 11.6 Administrative Regions Divided into 11 Main Governorates GDP Per capita $ 21,236 (IMF 2011) GNI per capita $ 20,025 Currency I (OMR) of 1,000 baizas = US$2.58 Time Difference GMT + 4 hours Source: Ministry of National Economy 2010 Ministry of Health – DGIT, Oman © All Rights Reserved 2013 Directorate of Information Technology
  • 4. Ministry of Health – Oman Responsible for provision, coordination and stewardship of the health sector Acts as the principal architect of health system design and takes responsibility for achieving inter-sectoral coordination Advocates to all other public systems to make policies favorable to the health sector, and to refrain from making policies, which may adversely affect the health of the people All Omani citizens enjoy the right of free health care Ministry of Health – DGIT, Oman © All Rights Reserved 2013 Directorate of Information Technology
  • 5. Ministry of Health – Oman The elimination of chronic and infectious diseases such as malaria, diarrhea and measles Low infant mortality rate (3%) per thousand population, compared with (13.3%) per thousand in 1980 Life expectancy (75.4) years in 2012 compared to (49.3) years in 1970 Ministry of Health – DGIT, Oman © All Rights Reserved 2013 Directorate of Information Technology
  • 6. Current E-Health Status 86% of Health Institutes are computerized (200 out of 214) 103 Health Institutes are connected via e-Referral system Ministry of Health – DGIT, Oman © All Rights Reserved 2013 Directorate of Information Technology
  • 7. Directorate of Information Technology Current E-Health Status HIMS (ALSHIFA) MIS (Management Information System) E-Referral E-Notification Nabdh ALSHIFA (Data warehouse and Business Intelligence) Central Blood Bank Central Laboratory Ministry of Health – DGIT, Oman © All Rights Reserved 2013 Directorate of Information Technology
  • 8. Ministry of Health – DGIT, Oman © All Rights Reserved 2013 Directorate of Information Technology MCH- Manual System Disadvantage Manual System for pre-natal check-up, services, and follow-up for mother and child health Pregnant women provides all their personal data for every pregnancy in the green card Every pregnancy was treated separately No appointment system Long waiting time at the medical center or clinic
  • 9. Ministry of Health – DGIT, Oman © All Rights Reserved 2013 Directorate of Information Technology MCH - Manual System Disadvantage Manual Creation for child medical record Lack of communication between vertical programs for the age group (0-5) Lack of sharing information about the child across the programs and therefore it was not possible to link health conditions and treat them together. No follow-up action for those who did not attend the required check-ups.
  • 10. Mother and Child Health Module Mother-Care Program Child-Care Program MCH System Ministry of Health – DGIT, Oman © All Rights Reserved 2013 Directorate of Information Technology
  • 11. Mother and Child Health program is a Module in MoH Healthcare Information Management System (ALSHIFA); it is an Oman Ministry of Health initiative. ALSHIFA is a comprehensive and complete solution for healthcare facility management from electronic medical records to Assets, Inventory, FA and HR management. – The in house developed system is installed in 200+ healthcare facilities of varying size and capabilities. – An integrated, defragmented and easily accessible EMR that provides 360 degree view of the patient history and clinical information needed for a point-of-care Mother and Child Health Module Ministry of Health – DGIT, Oman © All Rights Reserved 2013 Directorate of Information Technology
  • 12. Provides a holistic primary care for pregnant mothers (pre-natal care, post natal care, secondary infertility, and birth spacing ) Records are made available throughout their pregnancy from primary healthcare center to the hospital through the Healthcare system Full Appointment System with SMS facility and reminders Mother and Child Health Module Ministry of Health – DGIT, Oman © All Rights Reserved 2013 Directorate of Information Technology
  • 13. Vaccination list and activities are incorporated to the patients’ record Verifies if the vaccination is valid, medication history and ultrasound scan is also captured and stored in the patient record as well as the entire history of pregnancies Once the baby is born, the child record is created in the system and a holistic approach to treatment and management of child illnesses in the age group 0 to 5 is carried out Mother and Child Health Module Ministry of Health – DGIT, Oman © All Rights Reserved 2013 Directorate of Information Technology
  • 14. Objectives Provides a holistic and syndromic approach to management of women and children healthcare services Reduce maternal mortality rates and reduce the mortality and morbidity rates in the children age group (0-5) Improve the quality of care provided Ministry of Health – DGIT, Oman © All Rights Reserved 2013 Directorate of Information Technology
  • 15. As A Result Mortality Rate Ministry of Health – DGIT, Oman © All Rights Reserved 2013 Directorate of Information Technology
  • 16. Ministry of Health – DGIT, Oman © All Rights Reserved 2013 Directorate of Information Technology As A Result Vaccination Rate
  • 17. As A Result Mortality Rate of Maternity Ministry of Health – DGIT, Oman © All Rights Reserved 2013 Directorate of Information Technology
  • 18. As A Result Death Rate of Infants Ministry of Health – DGIT, Oman © All Rights Reserved 2013 Directorate of Information Technology
  • 19. As A Result Mortality Rate of Children Ministry of Health – DGIT, Oman © All Rights Reserved 2013 Directorate of Information Technology
  • 20. Holistic Primary Care Improving Quality of Life: e-Health System Reducing Child Mortality and Protecting Mothers in Oman winning the 2012 United Nations Public Service Award, 2nd place, in the category of “Promoting Gender Responsive Delivery of Public Services” Ministry of Health – DGIT, Oman © All Rights Reserved 2013 Directorate of Information Technology
  • 21. Holistic Primary Care Improving Quality of Life: e-Health System Reducing Child Mortality and Protecting Mothers in Oman Winning the 2013 WSIS Award, C7 e-Health Ministry of Health – DGIT, Oman © All Rights Reserved 2013 Directorate of Information Technology
  • 22. Thank You Ministry of Health – DGIT, Oman © All Rights Reserved 2013 Directorate of Information Technology